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1487179206
MIKE WAYNE HANNEGAN
ANAHEIM, CA
NPI
1487179206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
MIKE WAYNE HANNEGAN MS, ATC, CSCS
2695 E KATELLA AVE
ANAHEIM, CA 92806-5904
Phone number: 714-940-2831
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Mailing Address
MIKE WAYNE HANNEGAN MS, ATC, CSCS
18701 FAIRWOOD LN
SANTA ANA, CA 92705-2161
Phone number: 714-743-9119
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